Richard Sethre, PsyD, LP has provided psychological services to people with excessive weight for over 20 years. He has provided over 2,000 pre-surgery psychological assessments to help bariatric patients get cleared for surgery and to get a good outcome from their surgery. He is a member of the American Society for Metabolic and Bariatric Surgery and has provided presentations about bariatric surgery for Minnesota Psychological Association conferences and workshops. If you would like to learn more about what he can offer to help you with weight loss or to prepare for bariatric surgery, please him by phone 612-460-0692, or email, email@example.com
Paperwork for the first pre-surgery psychological assessment appointment. Please download, print and fill out the forms as best you can.
Intake form – routine form with demographic info, insurance info, and privacy info. Please fill out as best you can, and Dr. Sethre will review it
at the beginning of your appointment to help with any questions you have.
Informed Consent Form – Detailed info, required by state, Federal and insurance guidelines, about what services Dr. Sethre offers, what you can expect, and office policies.
Bariatric Intake Form – please complete it as best you can. Dr. Sethre will use the information on this form as part of the interview for the first appointment.
Bariatric Update Form– this form provides updated info for patients who have previously seen Dr. Sethre and need an updated report.
ROI (release of protected health information) This form authorizes Dr. Sethre to obtain information from your other medical clinicians or programs, if needed, and to send a copy of his clearance report to them (with your authorization, of course). Please complete one copy of this form for each clinician/program. You are welcome to discuss any privacy concerns with Dr. Sethre at your first appointment.
Resources for bariatric patients
Richard Sethre provides 3 videos about bariatric surgery and psychology. Here is the one that explains why a psychological assessment is required. All bariatric videos are located here.
Bariatric surgery and caffeine – good article about why it matters.